玻璃体切除术后高眼压的临床分析与处理

目的探讨玻璃体视网膜手术后高眼压的可能原因及处理方法。方法对行玻璃体切除术的389眼中发生术后高眼压的102眼行各项检查确定高眼压的原因，分别进行药物或手术治疗。结果术后高眼压102眼，发生率为26．22％。其中联合巩膜环扎组和未行巩膜环扎组高眼压发生率差异有统计学意义（P〈0．01），无晶状体眼和有晶状体眼组高眼压发生率差异有统计学意义（P〈0．01），外伤性和非外伤性病因者术后高眼压发生率差异有统计学意义（P〈0．01），而c，F。填充组和硅油填充组高眼压发生率差异无统计学意义（P〉0．05）。所有患眼经治疗后眼压均降至21mmHg以下，视力获得了不同程度的提高。除3例外，视神经未受明显损害。结论玻璃体视网膜手术后发生高眼压受多因素作用所致，无晶状体眼、巩膜环扎、眼外伤等为其高危因素。术前、术中对一些可控因素进行有效预防、术后监测眼压可早期发现并及时进行药物、手术治疗，而及时正确的处理可有效控制眼压、抢救大部分患眼视力。

Clinical analysis of high intraocular pressure after vitreoretinal surgery

Objective To investigate the cause and treatment of high intraocular pressure(lOP) after vitreoretinal surgery. Methods 389 patients underwent vitreoretinal surgery were reviewed.High intraocular pressure occurred in 102 patients,who were treated by medicine or surgery. Results The rate of lOP elevation with intraocular tamponade of C3F8 or silicone oil was 26.22%.The rate of IOP elevation with sclera buckling was significantly different from that without sclera buckling(P<0.01).The rate of lOP elevation in...